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Coding Clinic update - HCPro

Coding Clinic update January 2010 Editor s note: The following article is provided as a supplement to the January CdI the second of a quarterly series of articles available to ACDIS members, James S. Kennedy, Md, CCS, managing director at FTI Healthcare in Atlanta, takes a look at the highlights from the fourth quarter 2009 issue of AHA Coding Clinic for ICD-9-CM as they relate to CDI. This quarter fea-tures an added emphasis on documentation at the time of discharge, CDI opportunities in diabetic patients, and changes to Coding and reporting of obstetrics of uncertain diagnoses at the time of discharge (p. 172)Many CDI specialists are under the mistaken impression that uncertain diagnoses ( , those qualified as possible, probably, likely, suspected, still to be ruled out, or other similar terms) can be coded if they are documented anywhere in the record.

Coding CliniC update January 2010 Editor’s note: The following article is provided as a supplement to the January CdI Journal. In the second of a quarterly series of articles available to ACDIS members, James S. Kennedy, Md, CCS, managing director at FTI Healthcare in Atlanta, takes a look at the highlights from the fourth quarter 2009 issue of

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